The Invisible Illness Club | Chronic Illness, Auto Immune

025 Normal Labs, Real Symptoms: Patient Advocacy & Hope with Rheumatologist Dr. Reeti Joshi


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When your labs say “normal” but your body says otherwise—Dr. Reeti Joshi shares advocacy tools, faith, and hope for chronic illness.

What You’ll Learn
  • Why “normal” labs can still miss real disease activity—and how doctors actually interpret results in context of your story
  • Concrete ways to self-advocate (questions to ask, when to seek a second opinion, and how to communicate across specialties)
  • How a physician with her own autoimmune disease builds trust, listens, and practices shared decision-making
  • Why second and third visits often unlock key history—and how to prepare for them
  • “Never give up”: practical encouragement for long hauls, older patients, and anyone feeling burned out by the system
  • The quiet power of faith/spirituality, community, and small daily rituals (hello, hot tea ☕) in the healing journey
  • Memorable Quotes
    • “Patients rarely read a textbook. In autoimmunity, you often have to turn the textbook upside down.” —Dr. Joshi
    • “I can’t interpret your labs without hearing your story. History is the first test.” —Dr. Joshi
    • “Sometimes advocacy means not taking no for an answer—and overcoming gaslighting to get the care you need.” —Dr. Joshi
    • “Never give up. There’s always new science coming—and there’s always a next right step.” —Dr. Joshi
    • “We’re very adaptable; we reshape life around illness. Part of the work is seeing how long this has really been with us.” —Dr. Joshi
    • Reflection / Journal Prompt for the Week
      • When did my symptoms truly begin (not just when they became unbearable)?
      • What parts of my life have I quietly reshaped around illness—and what do those patterns teach me now?
      • Who is my “pillar of strength” (doctor, nurse, friend, spouse, community)—and how can I lean on them this week?
      • One Tiny Step for the Week
        Bring a 1-page “advocacy sheet” to your next appointment:
        • Top 3 symptoms (with impact on daily life)
        • 3 questions you need answered
        • 1 non-negotiable (e.g., “I need you to explain how this plan fits my actual day-to-day limits.”)
        • Resources
          • The One-Minute Joy Journal (find one thing good, even on hard days) → [Link to your product]
          • Contact Dr. Reeti Joshi: [email protected]
          • Find support & community: The Unseen Sisterhood newsletter → [Link]
          • Patient advocacy starter list (questions to bring):
            • “How does this result fit my symptoms?”
            • “If this lab is ‘normal,’ what else could explain my pain/fatigue?”
            • “What’s the next step if this plan doesn’t help in 4–6 weeks?”
            • “When should I seek a second opinion or a higher-level center?”
            • Credits
              • Guest: Dr. Reeti Joshi, MD, Rheumatologist
              • Host & Producer: April Aramanda
              • Show: The Invisible Illness Club Podcast
              • Music/Editing: Envato
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                The Invisible Illness Club | Chronic Illness, Auto ImmuneBy April Aramanda, Invisible Illness Club